Provider Demographics
NPI:1386390490
Name:MCINERNEY, NANCY ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ELIZABETH
Last Name:MCINERNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 UPPER GRAND ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:NY
Mailing Address - Zip Code:12528-1048
Mailing Address - Country:US
Mailing Address - Phone:845-399-7290
Mailing Address - Fax:845-691-2053
Practice Address - Street 1:173 UPPER GRAND ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:NY
Practice Address - Zip Code:12528-1048
Practice Address - Country:US
Practice Address - Phone:845-399-7290
Practice Address - Fax:845-691-2053
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0927861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical